Ditch The Labcoat

Dr. Dave Clarke returns to Ditch the Labcoat to dig deeper into something medicine still doesn't talk about enough: what happens when your body creates real, debilitating symptoms but there's nothing structurally wrong.This isn't about imaginary illness or psychosomatic complaints. This is about the brain physically changing in response to stress, trauma, and unresolved emotional burdens, and manifesting those changes as chronic pain, migraines, irritable bowel syndrome, fibromyalgia, chronic fatigue, and dozens of other conditions that standard medical tests can't explain.
Dr. Clarke walks through what neuroplastic treatment actually looks like. How he identifies patients whose symptoms stem from adverse childhood experiences, current stressors, or past traumas they've buried so deep they don't even recognize the connection. How he helps them see that their bodies are okay, their brains have just learned to create symptoms as a warning signal. And how, once that fear is removed and the real stressors are addressed, symptoms that have plagued people for years can resolve. Sometimes dramatically, sometimes over time with therapy.
The conversation challenges everything medicine teaches about the link between pathology and symptoms. Why do ten people with identical "bone-on-bone" knee arthritis x-rays experience completely different levels of pain? Why do half of people over 40 have abnormal spine MRIs but no symptoms at all? Why do patients get told their spine is "abnormal" or they have Ehlers-Danlos or chronic Lyme when the real issue is unprocessed trauma from childhood?
Dr. Clarke also addresses the system failures that keep neuroplastic treatment on the margins. Why physicians trained to think about organs and structures struggle to diagnose conditions rooted in the mind. Why patients resist the idea that their pain could be brain-generated, even when it's the only explanation that fits. And why collaborative care between medical doctors and trauma-informed mental health professionals is the most cost-effective intervention we're not using.
If you've ever wondered why so many people have unexplained symptoms, why standard treatments fail them, or what actually works when medicine runs out of answers, this episode will reframe how you see chronic illness.
Dr. Dave Clarke's Website:  https://www.symptomatic.me/

Episode Takeaways1. Neuroplastic conditions are not imaginary. The brain has physically changed in response to stress or trauma, creating real symptoms in the body.
2. Over 40% of people who present to primary care have medically unexplained symptoms, and at least a quarter to a third of adults experience neuroplastic conditions.
3. More than half of people over age 40 have abnormal spine MRIs with zero symptoms, proving that structural abnormalities don't always correlate with pain.
4. Pain reprocessing therapy starts with reassurance: your body is okay, you don't need to fear lifelong disability, and shifting attention from body to mind begins reducing symptoms.
5. Adverse childhood experiences (ACEs) are often subtle. Not just physical or sexual abuse, but emotional neglect, perfectionism, or growing up in chaotic households create lasting neuroplastic effects.
6. The key to uncovering hidden trauma: ask patients to imagine their own child growing up exactly as they did. This reframe helps them see experiences they minimized as actually harmful.
7. Collaborative care between medical doctors and trauma-informed mental health professionals produces the best outcomes and is highly cost-effective, reducing ER visits and healthcare utilization.
8. Resources are now widely available: apps (Curable, Nirvana, Digestible, FreeMe), self-help books, the Association for the Treatment of Neuroplastic Symptoms (symptomatic.me), and trained providers worldwide.
Episode Timestamps03:45 – What Neuroplastic Treatment Actually Looks Like
07:09 – The Stress Evaluation: Finding the Link Between Trauma and Symptoms
13:35 – How to Get Patients to Believe Their Brain Creates Physical Pain
18:55 – Placebo, Nocebo, and Why Pain is Always Generated by the Brain
24:46 – Conditions That Benefit from Neuroplastic Treatment
29:35 – Why the System Still Doesn't Believe This
36:53 – How to Uncover Hidden Childhood Trauma
46:45 – Resources for People Who Can't Access Specialized Care

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.  

 >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.   

 Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.

Alfredo Borodowski has lived through public failure, bipolar disorder, and the work of rebuilding identity from the ground up. Now he helps leaders navigate disruption without losing their humanity.
In this episode of Ditch the Labcoat, Dr. Mark Bonta sits down with Alfredo to explore what happens to meaning when systems accelerate. They discuss why productivity metrics fail to capture human performance, what AI accelerates and what it erodes, and how leaders can maintain purpose and resilience when certainty disappears.
Alfredo's formula is simple but powerful: Positivity + Purpose = Peak Performance. But the conversation goes deeper than frameworks. It asks hard questions about what humans need to preserve as work becomes more automated, why resilience isn't grit or endurance theater, and where positive psychology helps versus where it breaks.
This isn't a how-to episode. It's a thinking episode for leaders, clinicians, and anyone navigating a world where the system is outpacing the human.
 Dr. Borodowski : https://www.linkedin.com/in/alfredo-borodowski/

Episode Takeaways
1. Positive psychology focuses on nurturing what's already working, not fixing what's broken—a fundamental shift from traditional problem-solving approaches.
2. The formula Positivity + Purpose = Peak Performance isn't about motivation—it's about maintaining agency and meaning when systems accelerate beyond human capacity.
3. AI accelerates efficiency but can erode meaning, dignity, and the human experience of work if leaders don't actively preserve it.
4. Resilience isn't grit or pushing through—it's about internal stability, purpose, and psychological adaptability in permanent uncertainty.
5. Leadership in the AI era requires shifting from predicting the future to guiding people through disorienting change.
6. Burnout happens when purpose disconnects from work—not from working too hard or lacking work-life balance.
7. Productivity metrics capture output but miss what actually drives human performance: meaning, connection, and psychological safety.
8. Positive psychology helps when it addresses real tension and limits—it breaks when it becomes toxic positivity or denial of difficulty.

Episode Timestamps
05:54 – What Is Positive Psychology? (Nurturing What Works, Not Fixing What's Broken)
09:06 – The Positivity + Purpose = Peak Performance Formula
11:21 – Why Most Leadership Fails in Times of Uncertainty
14:02 – How AI Changes What Humans Need to Focus On
18:11 – The Difference Between Efficiency and Meaning
22:50 – Why Burnout Is Misunderstood by Leaders
28:03 – Resilience Is Not Grit or Endurance Theater
32:03 – What Positive Psychology Gets Wrong
35:32 – Leadership When Certainty Is Gone

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.  

 >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.   

 Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.

Joshua Resnikoff was a bench scientist at Harvard's Wyss Institute, surrounded by cutting-edge science. He believed healthcare could solve anything. Then his son started having unexplained recurring fevers. Monthly ER visits. Ice baths to prevent seizures. Years of diagnostic uncertainty. Finally, a diagnosis: PFAPA, a hyper-inflammatory condition so rare only 500 kids in the US have it. The doctor's response? "There's nothing we can do. It's not terminal, so don't worry about it."

That was his red pill moment.
On this episode of Ditch the Labcoat, Dr. Mark Bonta sits down with Joshua, founder and CEO of Sunstone Health, to explore what happens when families get trapped in the diagnostic odyssey. Joshua built a platform that compresses a seven-year diagnostic journey into 12 weeks by using AI to find hidden rare disease patients buried in insurance claims data.
Dr. Bonta and Joshua tackle the hard questions: What happens when doctors don't know what's wrong? Why does the healthcare system fail zebra patients while teaching doctors to only look for horses? And what role does physician attitude play in solving diagnostic mysteries?
If you've ever felt dismissed by the healthcare system or wondered whether AI can actually help real patients, this conversation will challenge everything you thought you knew about precision medicine and patient advocacy.
Joshua Resnikoff's Website : https://www.sunstonehealth.com/
Episode Takeaways

1. The diagnostic odyssey for rare diseases averages 7 years—Sunstone compresses it to 12 weeks using AI and insurance claims data.
2. "There's nothing we can do" isn't medical reality—it's often a failure of attitude, not knowledge or skills.
3. Rare disease families are desperate for answers, making them vulnerable to predatory experimental treatments and unproven therapies.
4. Health plans, not patients, are Sunstone's customers—financial incentives align when undiagnosed kids cost insurers millions in repeated ER visits.
5. Doctors are taught "when you hear hoofbeats, think horses not zebras"—but 2% of hospital patients are zebras with no diagnosis after 24 hours.
6. Genetic testing isn't just about diagnosis—it's about getting specialty guidance back to local doctors so families don't travel hours for care.
7. Patient data ownership matters—families should control their genetic reports and medical records, not insurance companies.
8. Expanding from genetic epilepsy into autism, familial hypercholesterolemia, and other rare diseases—the goal is to be infrastructure for all non-oncology genetic disease.
Episode Timestamps
04:11 – The Red Pill Moment: "There's Nothing We Can Do"
07:07 – Building Community: From Desperation to Action
11:42 – How Sunstone Works: Finding Hidden Patients in Claims Data
19:22 – Seven Years to 12 Weeks: Compressing the Diagnostic Odyssey
25:17 – Zebras vs. Horses: When Rare Disease Becomes Your Reality
33:46 – The Attitude Problem: Why Doctors Give Up on Diagnostic Mysteries
37:48 – Medical Desperation: Experimental Treatments and Predatory Care
45:38 – The Future: Expanding Beyond Epilepsy into Autism and Beyond

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.  

 >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.   

 Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.

AI is everywhere in healthcare conversations. This episode asks the more uncomfortable question: what is it actually doing in real hospitals, with real patients, and real constraints?
Dr. Mark Bonta sits down with Dr. Joshua Liu, Co-Founder and CEO of SeamlessMD, for a clinician-first, workflow-grounded conversation about where AI delivers value today, where it still falls apart, and why “smart” tools often die quietly at implementation.
They unpack why the most immediate wins are not futuristic diagnostics. They are the unglamorous bottlenecks that drain clinical bandwidth: documentation, forms, referrals, and the administrative sprawl that keeps teams stuck in the note instead of at the bedside. From there, the conversation turns to a core systems problem: insight without protocol. A model can predict risk. But if no one knows what to do with the number, nothing changes.
You’ll also hear a clear breakdown of “AI agents,” why trust matters more than technology, and how digital care journeys can reduce anxiety, shorten length of stay, and catch post-discharge issues earlier without flooding clinicians with noise.
If you are a CMIO, CIO, clinical operations leader, surgical program director, or anyone tired of alert fatigue and “model theater,” this episode will feel uncomfortably familiar in the best way.
Dr. Joshua Liu Website https://www.seamless.md/

Episode Takeaways

1. AI’s First Impact Is Administrative, Not Diagnostic — The biggest gains today are in documentation, forms, and workflow relief, not autonomous clinical decision-making.
2. Insight Without Protocol Is Noise — A risk score means nothing unless a care team has defined what to do with it.
3. Healthcare Moves at the Speed of Trust — Technology adoption depends less on capability and more on clinician confidence and governance.
4. AI Agents Shift from Answers to Action — Moving from chat-based support to systems that execute tasks will redefine clinical workflow.
5. Eighty Percent of Patient Concerns Are Low Risk — Smart triage and education can filter noise and reduce unnecessary visits.
6. Digital Care Journeys Reduce Variation — Personalized, just-in-time guidance lowers anxiety, shortens length of stay, and reduces readmissions.
7. Integration Determines Survival — Tools that do not fit directly into existing EMRs and workflows will not scale.
8. Execution Beats Hype — The future of AI in healthcare will be shaped by implementation, not model sophistication.
Episode Timestamps
01:52 – AI Boom or Bust: What Actually Changes Care
03:23 – Predictive Analytics vs Documentation: The Real “Low Hanging Fruit”
12:19 – What Is an AI Agent: Chatbot vs Agentic AI
16:39 – The Biggest Barrier: Trust, Not Just Privacy
22:27 – Why Joshua Chose Startups Over Residency: SeamlessMD Origin Story
25:55 – Building Digital Care Journeys: From Surgery to “Birth to Death”
30:17 – AI Inside Patient Journeys: Answers Grounded in Vetted Protocols
42:03 – The Next Decade: Computer Vision, Robotics, and Physical AI

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.  

 >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.   

 Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.

Welcome back to Ditch the Labcoat for our 100th episode. Today we tackle a challenge that touches millions yet remains widely misunderstood: falls and balance loss in aging adults.
Host Dr. Mark Bonta sits down with Dan Metcalfe, Founder and CEO of Born SuperHuman and Total Balance Company, to challenge the dangerous assumption that falling is just "part of getting older." They reveal how falls are actually the number one cause of death in older adults, not because bodies weaken, but because the brain-to-body connection deteriorates when we stop challenging our neurological systems. Dan shares groundbreaking insights from training over 70,000 people, explaining why traditional strength training misses the mark and how proper balance work can add eight years of quality life.
Drawing from his own journey from paralysis after a stage accident to competing in Ironman races following partial brain death, Dan explains the neuroscience behind balance, fear, and movement. He breaks down how the cerebellum, the pyramis, and neuroplasticity work together, why "muscle memory" is actually neuron memory, and how mental rehearsal can be as powerful as physical practice. Most importantly, he offers practical, accessible strategies anyone can use to prevent falls and reclaim independence.
Dr. Metcalfe shares transformative stories, from Bob Eubanks going from wheelchair-bound to running at 79, to his own mother returning to line dancing after a stroke. They explore why static balance tests fail us, how fear creates the very falls we're trying to avoid, and why playing like a kid again might be the most powerful longevity tool we're ignoring.
If you've ever worried about losing your independence, watched a loved one shuffle in fear, or wondered whether aging really means slowing down, you won't want to miss this evidence-based, hope-filled conversation.
Dan Metcalfe's Links : http://totalbalancecompany.com/ & https://bornsuperhuman.com/

Episode Takeaways
1. Falls Are Preventable, Not Inevitable – Falls are the number one cause of death in older adults, but they're caused by lost brain-body connection, not aging itself.
2. Balance Is Brain-Led, Not Body-Built – Traditional strength training misses the point. Balance comes from neurological pathways, not muscle strength.
3. Muscle Memory Doesn't Exist – What we call muscle memory is actually neuron memory. The brain fires signals to muscles through repetitive neural pathways.
4. Fear Creates the Falls We're Trying to Avoid – The pyramis in the cerebellum holds movement fear memories, causing the cautious shuffle that increases fall risk.
5. Static Balance Tests Are Misleading – Standing on one leg without moving only uses three brain regions. Real balance requires dynamic movement engaging 18+ brain areas.
6. Better Balance Adds Eight Years of Quality Life – French study of 1,300 women proved those in the top 30% for balance lived eight years longer with better function.
7. Play Like a Kid to Age Well – Swinging, hopping, side-stepping, and playful movement maintain the neurological connections built in childhood.
8. We're Born to Heal at Any Age – From Olympic athletes to centenarians, the brain's ability to rewire through neuroplasticity never stops if we challenge it.
Episode Timestamps
02:03 – Falls: The Silent Epidemic in Aging
04:02 – Balance Isn't About Age, It's About Brain Connection
06:41 – From Paralysis to Performance: Dan's Story
11:39 – The Muscle Memory Myth: It's All Neurons
16:40 – The Pyramis and Fear: How Your Brain Stops You
26:06 – Visualization and Mental Rehearsal Power
33:52 – Prevention Over Treatment: Move Like a Kid Again
50:54 – Born to Heal: Unlocking Your Superhuman Potential
DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.  

 >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.   

 Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.